Provider Demographics
NPI:1447557624
Name:CASHMAN, THERESA A (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:A
Last Name:CASHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 BUNKER ST
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-5805
Mailing Address - Country:US
Mailing Address - Phone:321-208-2020
Mailing Address - Fax:
Practice Address - Street 1:306 BUNKER ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-5805
Practice Address - Country:US
Practice Address - Phone:321-208-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW147141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical